- CareFirst (Baltimore, MD)
- …setup of code sets used for configuration in benefits & pricing for claims processing, claims editing configuration set-up and maintenance. Analyzes business ... configurations, workflow and process mapping in Guiding Care for core care management and clinical appeals workflows. + Assesses how proposed configuration … more
- Centene Corporation (Honolulu, HI)
- …Hawaii **Position Purpose:** Manage the daily operations of all provider data management functions. Direct provider data management related activities based on ... provider data entry and maintenance to ensure accurate and timely setup for claims payment, member assignment and directory display + Investigate and resolve complex… more
- Robert Half Office Team (Portland, OR)
- Description We are looking for a dedicated Risk Management Coordinator to join our team in Wilsonville, Oregon. In this role, you will oversee risk management ... measures. * Collaborate with injured workers and manage workers' compensation claims in compliance with regulations. * Develop and implement safety training… more
- City of New York (New York, NY)
- …and communities. Under the supervision of the Senior Director of the Grants Management & Revenue (GMR), The Director, with latitude for the exercise of independent ... financial documentation to support revenue plans; preparing and submitting revenue claims ; preparing financial reports to various New York State departments, the… more
- UIC Government Services and the Bowhead Family of Companies (Patuxent River, MD)
- **Overview** Bowhead is seeking a Management Analyst for a newly awarded contract in Patuxent River, MD. The Management Analyst will be the senior expert and ... measurement studies, and prepare operations and procedures manuals to assist management in operating more efficiently and effectively. + Includes program analysts… more
- UIC Government Services and the Bowhead Family of Companies (Bedford, IN)
- **Overview** **Senior Product Lifecycle Management Analyst (CRANE-2025-24197)** Bowhead seeks to network with a Senior Product Lifecycle Managment Analyst for a ... This work will assist with ongoing PLM operations, configuration, optimization, quality management platform, and user support. Windchill is the Product Lifecycle … more
- Travelers Insurance Company (West Bridgewater, MA)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business property claims of moderate severity and complexity. Claims ...required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling… more
- Travelers Insurance Company (Falmouth, MA)
- …this position is responsible for the handling of first party property claims including: investigating, evaluating, estimating and negotiating to ensure optimal claim ... resolution for personal or business claims of moderate severity and complexity. Handles ...required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling… more
- MyFlorida (Fort Lauderdale, FL)
- …determining managed care compliance with the SMMC contract as it relates to claims processing. Examples of work include: Analyzes programmatic reports of claims ... when issues are identified in the managed care plan provider reimbursement and claims processes. Conducts program training to Medicaid managed care plans related to… more
- University of Rochester (Albany, NY)
- … Claims Resolution Representative III reports to Accounts Receivable Management . **ESSENTIAL FUNCTIONS:** With general direction of the Manager/Supervisor/Lead: + ... of the individual, and internal equity considerations._ **Responsibilities:** The Claims Resolution Representative III is responsible for working across the… more